Diagnosis Goal Intervention Rational Evolution

1- Thought  Patient will remain Provide patient with 1.1 People in the early Patient remained calm
Processes, calm and will not clues for orientation: stages of  and showed no signs
Altered, related experience agitation “Good morning Mrs. Alzheimer’s disease of agitation or anxiety
to progressive and anxiety as a R. My name is Nawal , may become agitated
dementias result of her and I will help because their world is
evidenced by disorientation and you today.” always unfamiliar to
disorientation to memory loss. them. The issue is not
time and place, whether individuals
loss of short- with a dementia are
term memory, oriented, but whether
inability to they can cope with
concentrate, their environment.
and periods of
agitation
 1.2 Place a large sign 1.2 Short-term memory
on patient door with her loss makes it
name printed in large impossible for patient
letter to help her find to remember where
the room. her room is or where
the bathroom is. If she
still recognizes her
name, posting it on the
door will help her find
her way.

1.3 Have family

bringing snapshots and 1.3 Reminiscing can be
photos to stimulate a satisfying activity. It
reminiscence is especially helpful
if the photos are
froman earlier, happier
time such as when her
children were young.
Long-term
Avoid changing patient
room and put items
back in the same place Consistency in the
all the time. environment (as well
as in routine and staff )
reduces frustration.

Consult with activities

staff in planning self
expensive non fail Appropriate activates
activates that require prevent boredom
little concentration which can lead to
( e.g. painting with non irritation. Its important
toxic paints modeling to plan non stressful
with non toxic clay ) non competitive,failier
proof activities in order
to prevent frustration.